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anomalies and curiosities of medicine-第262章

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le…bite with removal of a large portion of omentum。 Sircar speaks of recovery from a crocodile…bite。 Dudgeon reports two cases of animal…bites; both fatal; one by a bear; and the other by a camel。 There is mention of a compound dislocation of the wrist…joint from a horse…bite。 Fayrer speaks of a wolf…bite of the forearm; followed by necrosis and hemorrhage; necessitating ligature of the brachial artery and subsequent excision of the elbow…joint。

Injuries from Lightning。The subject of lightning…stroke; with its diverse range of injuries; is of considerable interest; and; though not uncommon; the matter is surrounded by a veil of superstition and mystery。 It is well known that instantaneous or temporary unconsciousness may result from lightning…stroke。 Sometimes superficial or deep burns may be the sole result; and again paralysis of the general nerves; such as those of sensation and motion; may be occasioned。 For many years the therapeutic effect of a lightning…stroke has been believed to be a possibility; and numerous instances are on record。 The object of this article will be to record a sufficient number of cases of lightning…stroke to enable the reader to judge of its various effects; and form his own opinion of the good or evil of the injury。 It must be mentioned here that half a century ago Le Conte wrote a most extensive article on this subject; which; to the present time; has hardly been improved upon。

The first cases to be recorded are those in which there has been complete and rapid recovery from lightning…stroke。 Crawford mentions a woman who; while sitting in front of her fireplace on the first floor of a two…story frame building; heard a crash about her; and realized that the house had been struck by lightning。 The lightning had torn all the weather…boarding off the house; and had also followed a spouting which terminated in a wooden trough in a pig…sty; ten feet back of the house; and killed a pig。 Another branch of the fluid passed through the inside of the building and; running along the upper floor to directly over where Mrs。 F。 was sitting; passed through the floor and descended upon the top of her left shoulder。 Her left arm was lying across her abdomen at the time; the points of the fingers resting on the crests of the ilium。 There was a rent in the dress at the top of the shoulder; and a red line half an inch wide running from thence along the inside of the arm and fore…arm。 In some places there was complete vesication; and on its palmer surface the hand lying on the abdomen was completely denuded。 The abdomen; for a space of four inches in length and eight inches in breadth; was also blistered。 The fluid then passed from the fingers to the crest of the ilium; and down the outside of the leg; bursting open the shoes; and passing then through the floor。 Again a red line half an inch wide could be traced from the ilium to the toes。 The clothing was not scorched; but only slightly rent at the point of the shoulder and where the fingers rested。 This woman was neither knocked off her chair nor stunned; and she felt no shock at the time。 After ordinary treatment for her burns she made rapid and complete recovery。

Halton reports the history of a case of a woman of sixty…five who; about thirty…five minutes before he saw her; had been struck by lightning。 While she was sitting in an outbuilding a stroke of lightning struck and shattered a tree about a foot distant。 Then; leaving the tree about seven feet from the ground; it penetrated the wall of the building; which was of unplastered frame; and struck Mrs。 P。 on the back of the head; at a point where her hair was done up in a knot and fastened by two ordinary hair…pins。 The hair was much scorched; and under the knot the skin of the scalp was severely burned。 The fluid crossed; burning her right ear; in which was a gold ear…ring; and then passed over her throat and down the left sternum; leaving a burn three inches wide; covered by a blister。 There was another burn; 12 inches long and three inches wide; passing from just above the crest of the ilium forward and downward to the symphysis pubis。 The next burn began at the patella of the right knee; extending to the bottom of the heel; upon reaching which it wound around the inner side of the leg。 About four inches below the knee a sound strip of cuticle; about 1 1/2 inches; was left intact。 The lightning passed off the heel of the foot; bursting open the heel of a strongly sewed gaiter…boot。 The woman was rendered unconscious but subsequently recovered。

A remarkable feature of a lightning…stroke is the fact that it very often strips the affected part of its raiment; as in the previous case in which the shoe was burst open。 In a discussion before the Clinical Society of London; October 24 1879; there were several instances mentioned in which clothes had been stripped off by lightning。 In one case mentioned by Sir James Paget; the clothes were wet and the man's skin was reeking with perspiration。 In its course the lightning traveled down the clothes; tearing them posteriorly; and completely stripping the patient。 The boots were split up behind and the laces torn out。 This patient; however; made a good recovery。 Beatson mentions an instance in which an explosion of a shell completely tore off the left leg of a sergeant instructor; midway between the knee and ankle。 It was found that the foot and lower third of the leg had been completely denuded of a boot and woolen stocking; without any apparent abrasion or injury to the skin。 The stocking was found in the battery and the boot struck a person some distance off。 The stocking was much torn; and the boot had the heel missing; and in one part the sole was separated from the upper。 The laces in the upper holes were broken but were still present in the lower holes。 The explanation offered in this case is similar to that in analogous cases of lightning…stroke; that is; that the gas generated by the explosion found its way between the limb and the stocking and boot and stripped them off。

There is a curious collection of relics; consisting of the clothes of a man struck by lightning; artistically hung in a glass case in the Museum of the Royal College of Surgeons; London; and the history of the injury; of which these remnants are the result; is given by Professor Stewart; the curator; as follows: At half past four on June 8; 1878; James Orman and others were at work near Snave; in Romney Marsh; about eight miles from Ashford。 The men were engaged in lopping willows; when the violence of the rain compelled them to take refuge under a hedge。 Three of the men entered a shed near by; but Orman remained by the willow; close to the window of the shed。 Scarcely were the three inside when a lightning…stroke entered the door; crossed the shed; and passed out the window; which it blew before it into the field。 The men noticed that the tree under which Orman stood was stripped of its bark。 Their companion's boots stood close to the foot of the tree; while the man himself lay almost perfectly naked a few yards further on; calling for help。 When they left him a few moments previously; he was completely clad in a cotton shirt; cotton jacket; flannel vest; and cotton trousers; secur
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